One of the best role-playing games I have ever played!
There is a lot of violence (very bloody and gory) and strong language in the game, so be careful. When it says sexual themes on the box, there really aren't. It only says that because when you scavenge off dead bodies, it will take off their clothes, but guys still have undershirts and boxers on, and women still have skirts and undershirts on. So the only things that need be worried about are the strong language and intense violence. Their really aren't that many drugs in the game, only beer, vodka, wine, etc. and cigarettes, but you can't do much with these things.